TRS Questionnaire (FY 2021-2022)

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	Last Name*

	First Name*

	Campus M#:(enter 0000 if a # has not been assigned or you do not know)*

TRS-covered Employment*

	Yes	No
1. Have you ever worked for a TRS-covered employer?
2. Did you contribute to TRS during that period of employment?
(2a.) If you answered yes, have you withdrawn your funds from TRS? (if a withdrawn account has been repaid, the answer is no)
3. Are you currently working or will you be working for a covered TRS employer, (other than MSU) in the 2021-2022 school year?

	(3a) If you answered YES, please put the name of your employer. If you answered NO, please put N/A.*

TRS Contributions*

	Yes	No
4. Are you contributing or will you be contributing to TRS at another employer, (other than MSU) in the 2021-2022 school year?
5. If you are currently working or will be working for a TRS employer in the 2021-2022 school year, (other than MSU) are you working at least 50% and contributing to TRS?
6. If you are working or will be working for a TRS employer in the 2021-2022 school year, (other than MSU) are you working LESS than 50% and NOT contributing to TRS?

	(6a) If you answered YES, please enter your % of time. If you answered NO, please put N/A.*

Retirement*

		Yes		No
7. Are you a retiree of TRS?

	(7a) If you answered Yes, please put your retirement date. If you answered NO, please put N/A.*

I understand that it is my responsibility to update the MSU HR department if my TRS eligibility changes during the academic year (employment status change, retirement, etc.)*

Agree

	Please contact Liza Villadiego, Benefits Assistant at 940-397-4133 or liza.villadiego@msutexas.edu with questions or concerns.

Submit

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